Pharmacy Technician (Prior Authorization)

Job Description

Job Description

Job Title: Pharmacy Technician

We are seeking a dedicated Pharmacy Technician to join our team. The role involves managing pharmacy claims, supporting insurance verification processes, and engaging with patients to ensure they receive the best possible care. This position requires attention to detail and effective communication skills to liaise with various stakeholders including patients, physicians, and insurance providers.

Responsibilities

• Recognize and effectively communicate about insurance types and when each type would be utilized.
• Enter all communication and documentation in the Biologics Management Information System (MIS).
• Assist with projects such as yearly reverification.
• Communicate with patients to gather appropriate insurance information.
• Triage prescriptions to preferred pharmacies or HUB providers when Biologics is unable to serve the patient.
• Appropriately process pharmacy claims in Biologics MIS.
• Recognize and understand pharmacy claim responses.
• Manage inbound calls from patients, clients, physicians, and payors regarding patient updates and services provided.
• Identify and report adverse events (AEs) and product complaints (PCs) to clinicians.
• Manage and reply to internal written communications and requests received via chat or email.
• Perform other related duties as assigned by the Supervisor.

Essential Skills

• Experience with prior authorizations in a hospital, specialty pharmacy, or healthcare setting.
• Knowledge of pharmacy services and medical billing & coding.
• Ability to efficiently navigate through large medical records and identify necessary documentation.
• Strong understanding of insurance verification processes.

Additional Skills & Qualifications

• Certified Pharmacy Technician (CPhT) is a plus.
• Medical Assistant experience would be a strong advantage.
• Pharmacy registration or certification is not required but beneficial.
• Experience with CoverMyMeds and insurance providers is preferred.

Work Environment

The position offers a hybrid work schedule with mandatory in-office days on Tuesdays. Flexible shifts are available, with core working hours between 9:00 AM and 8:00 PM. Most hires will likely work earlier shifts. The role involves significant outbound calling and patient interaction, requiring the ability to work independently from home. The office environment is professional, with no direct patient contact, and the company is closed on weekends and major holidays. The team is dedicated to simplifying medication access and delivering personalized care to help patients achieve the best possible outcomes.

This is a Contract to Hire position based out of Cary, NC.

The pay range for this position is $22.50 - $22.50/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a hybrid position in Cary,NC.

This position is anticipated to close on Sep 12, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications withoutregard to race, sex, age, color, religion, national origin, veteran status, disability,sexual orientation, gender identity, genetic information or any characteristic protectedby law.

If you would like to request a reasonable accommodation, such as the modification oradjustment of the job application process or interviewing process due to a disability,please email View email address on ziprecruiter.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in thecity and county of San Francisco, we will consider for employment qualified applicantswith arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as acondition of employment or continued employment. An employer who violates this lawshall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process,including sourcing, screening, and evaluating candidates. AI helps assess applicationsand qualifications, but final decisions are made by our hiring team. By applying, youacknowledge and agree that your application may be reviewed using AI tools.